Employee Health Vaccine Documentation

All Team Members shall be required to undergo the screening, vaccinations, and tests defined in the Occupational Health Screening and Maintenance policy.


  • UVA Community Health requires influenza vaccinations for all team members, physicians, volunteers, students, contractors, vendors, and all others who provide services.
  • External Flu Submissions: Team members who acquire their flu vaccinations from outside of EOH are required to submit proof of vaccination to Employee Occupational Health.


Exemptions: Team members must be formally approved for exemption by the exemption deadline date. Of note: To assess the request appropriately, team members must understand that they may be asked to submit a new application for religious/medical exemption in the future.


An approved exemption does not automatically mean your exemption will be approved permanently.


Access the Exemption Request Form:

Flu Medical Exemption

Flu Religious Exemption

Other Medical Exemption

Other Religious Exemption

This can be found at the back of your badge, below the barcode.

This is your UVACH business unit

Select
Caret IconCaret symbol

When uploading your proof of flu vaccination, please enter Issued

on as the date you received the vaccine.

Vaccine type*

Please ensure that the uploaded file is clear and legible and that the date issued is accurate and includes 2 patient identifiers.

Drag and drop files here or